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NPI Code Detail

MEDICARE: CHUNG-CHE CHARLES WANG MD

MEDICARE: CHUNG-CHE CHARLES WANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA87067CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346329471
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUNG-CHE CHARLES WANG MD
Provider Business Mailing Address
First Line : PO BOX 60424
Second Line : 265 CAMBRIDGE AVE
City : PALO ALTO
State : CA
Zip : 94306-0424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2633 E 27TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-1912
Country : US
Telephone Number : 650-380-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 05/08/2010

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Directions to “ CHUNG-CHE CHARLES WANG MD” Practice Location

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